,Chapterz01:zCriticalzCare Nursing Practice
Urden:zCriticalzCarezNursing,z9th
MULTIPLEz
CHOICE
1. DuringzWorldzWarzII,zwhatztypezofzwardszwerezdevelopedztozcarezforzcritical
lyzinjuredzpatients?
a. Intensivezcare
b. Triage
c. Shock
d. Postoperative
ANS:zC
DuringzWorldzWarzII,zshockzwardszwerezestablishedztozcarezforzcriticallyzinjuredzpatients.
zTriagezwardszestablishzthezorderzinzwhichzazpatientziszseenzorztreatedzuponzarrivalztozazho
spital.zPostoperativezwardszwerezdevelopedzinz1900zandzlaterzevolvedzintozintensivezcarez
units.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z1zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
2. Whatztypezofzpractitionerzhaszazbroadzdepthzofzspecialtyzknowledgezandzexpertiseza
ndzmanageszcomplexzclinicalzandzsystemzissues?
a. Registeredznurses
b. Advancedzpracticeznurses
c. Clinicalznursezleaders
d. Intensivists
ANS:zB
Advancedzpracticeznursesz(APNs)zhavezazbroadzdepthzofzknowledgezandzexpertisezinzthe
irzspecialtyzareazandzmanagezcomplexzclinicalzandzsystemszissues.zIntensivistszarezmedic
alzpractitionerszwhozmanagezthezcriticalzillzpatient.zRegisteredznursesz(RNs)zarezgenerall
yzdirectzcarezproviders.zClinicalznursezleadersz(CNLs)zgenerallyzdoznotzmanagezsystemzi
ssues.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z2zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
3. Whatztypezofzpractitionerziszinstrumentalzinzensuringzcarezthatziszevidencezbasedza
ndzthatzsafetyzprogramszarezinzplace?
a. Clinicalznursezspe
cialistzb.zAdvancedzpr
acticeznursezc.
Registeredznurses
d.zNursezpractitioners
ANS:zA
, Clinicalznursezspecialistsz(CNSs)zservezinzspecialtyzroleszthatzuseztheirzclinical,zteaching,
zresearch,zleadership,zandzconsultativezabilities.zTheyzarezinstrumentalzinzensuringzthatzca
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azbroadzdepthzofzknowledgezandzexpertisezinztheirzspecialtyzareazandzmanagezcomplex
zclinicalzandzsystemszissues.zRegisteredznurseszarezgenerallyzdirectzcarezproviders.zNur
sezpractitionersz(NPs)zmanagezdirectzclinicalzcarezofzgroupszofzpatients.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z2zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
4. Whichzprofessionalzorganizationzadministerszcriticalzcarezcertificationzexamszfo
rzregisteredznurses?
a. StatezBoardzofzRegisteredzNurses
b. NationalzAssociationzofzClinicalzNursezSpecialist
c. SocietyzofzCriticalzCarezMedicine
d. AmericanzAssociationzofzCritical-CarezNurses
ANS:zD
AmericanzAssociationzofzCritical-
CarezNursesz(AACN)zadministerszcertificationzexamszforzregisteredznurses.zThezStatez
BoardzofzRegisteredzNursesz(SBON)zdoesznotzadministerzcertificationzexams.zNationalz
AssociationzofzClinicalzNursezSpecialistsz(NACNS)zdoesznotzadministerzcertificationzex
ams.zSocietyzofzCriticalzCarezMedicinez(SCCM)zdoesznotzadministerznursingzcertificati
onzexamszforzregisteredznurses.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z3zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
5. Emphasisziszonzhumanzintegrityzandzstressesztheztheoryzthatzthezbody,zmind,zandzspir
itzarezinterdependentzandzinseparable.zThiszstatementzdescribeszwhichzmethodologyz
ofzcare?
a. Holisticzcare
b. Individualizedzcare
c. Culturalzcare
d. Interdisciplinaryzcare
ANS:zA
Holisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbody,zmind,zandzspiritzarezin
terdependentzandzinseparable.zIndividualizedzcarezrecognizeszthezuniquenesszofzeachzpatie
nt’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzstatus.zCulturalzdiversityzin
healthzcarezisznotzaznewztopic,zbutzitziszgainingzemphasiszandzimportancezaszthezworldzbe
comeszmorezaccessibleztozallzaszthezresultzofzincreasingztechnologieszandzinterfaceszwithz
placeszandzpeoples.zInterdisciplinaryzcareziszcarezamongzazvarietyzofzhealthzcarezprofessi
onalszwithzthezpatient’szhealthzaszthezcommonzgoal.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z4zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
, 6. ThezAmericanzAssociationzofzCritical-
CarezNursesz(AACN)zhaszdevelopedzshortzdirectiveszthatzcanzbezusedzaszquickzr
eferenceszforzclinicalzusezthatzarezknownzas
a. CriticalzCarezProtocol.
b. PracticezPolicies.
c. Evidence-BasedzResearch.
d. PracticezAlerts.
ANS:zD
ThezAmericanzAssociationzofzCritical-
CarezNursesz(AACN)zhaszpromulgatedzseveralzevidence-
basedzpracticezsummarieszinzthezformzofz“PracticezAlerts.”zEvidence-
basedznursingzpracticezconsiderszthezbestzresearchzevidencezonzthezcareztopiczalongzwith
zclinicalzexpertisezofztheznursezandzpatientzpreferences.zCriticalzcarezprotocolzandzpractic
ezpolicieszarezestablishedzbyzindividualzinstitutions.
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REF:zp.z3zOBJ:z NursingzProcesszStep:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
7. Whatztypezofztherapyziszanzoptionztozconventionalztreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:zA
Theztermzalternativezdenoteszthatzazspecificztherapyziszanzoptionzorzalternativeztozwhatz
iszconsideredzconventionalztreatmentzofzazconditionzorzstate.zTheztermzcomplementaryz
waszproposedztozdescribeztherapieszthatzcanzbezusedztozcomplementzorzsupportzconventi
onalztreatments.zHolisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbody,zm
ind,zandzspiritzarezinterdependentzandzinseparable.zIndividualizedzcarezrecognizeszthezu
niquenesszofzeachzpatient’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzs
tatus.
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REF:zp.z4zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
8. Prayer,zguidedzimagery,zandzmassagezarezallzexampleszofzwhatztypezofztreatment?
a. Alternativeztherapy
b. Holisticzcare
c. Complementaryzcare
d. Individualizedzcare
ANS:zC
Theztermzcomplementaryzwaszproposedztozdescribeztherapieszthatzcanzbezusedztozcomplem
entzorzsupportzconventionalztreatments.zSpirituality,zprayer,zguidedzimagery,zmassage,zandz
animal-
zassistedztherapyzarezallzexampleszofzcomplementaryzcare.zTheztermzalternativezdenoteszth
atzazspecificztherapyziszanzoptionzorzalternativeztozwhatziszconsideredzconventionalztreatme
ntzofzazconditionzorzstate.zHolisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbo
dy,zmind,zandzspiritzarezinterdependentzandzinseparable.zIndividualizedzcarezrecognizeszthe
zuniquenesszofzeachzpatient’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzstat
Urden:zCriticalzCarezNursing,z9th
MULTIPLEz
CHOICE
1. DuringzWorldzWarzII,zwhatztypezofzwardszwerezdevelopedztozcarezforzcritical
lyzinjuredzpatients?
a. Intensivezcare
b. Triage
c. Shock
d. Postoperative
ANS:zC
DuringzWorldzWarzII,zshockzwardszwerezestablishedztozcarezforzcriticallyzinjuredzpatients.
zTriagezwardszestablishzthezorderzinzwhichzazpatientziszseenzorztreatedzuponzarrivalztozazho
spital.zPostoperativezwardszwerezdevelopedzinz1900zandzlaterzevolvedzintozintensivezcarez
units.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z1zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
2. Whatztypezofzpractitionerzhaszazbroadzdepthzofzspecialtyzknowledgezandzexpertiseza
ndzmanageszcomplexzclinicalzandzsystemzissues?
a. Registeredznurses
b. Advancedzpracticeznurses
c. Clinicalznursezleaders
d. Intensivists
ANS:zB
Advancedzpracticeznursesz(APNs)zhavezazbroadzdepthzofzknowledgezandzexpertisezinzthe
irzspecialtyzareazandzmanagezcomplexzclinicalzandzsystemszissues.zIntensivistszarezmedic
alzpractitionerszwhozmanagezthezcriticalzillzpatient.zRegisteredznursesz(RNs)zarezgenerall
yzdirectzcarezproviders.zClinicalznursezleadersz(CNLs)zgenerallyzdoznotzmanagezsystemzi
ssues.
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REF:zp.z2zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
3. Whatztypezofzpractitionerziszinstrumentalzinzensuringzcarezthatziszevidencezbasedza
ndzthatzsafetyzprogramszarezinzplace?
a. Clinicalznursezspe
cialistzb.zAdvancedzpr
acticeznursezc.
Registeredznurses
d.zNursezpractitioners
ANS:zA
, Clinicalznursezspecialistsz(CNSs)zservezinzspecialtyzroleszthatzuseztheirzclinical,zteaching,
zresearch,zleadership,zandzconsultativezabilities.zTheyzarezinstrumentalzinzensuringzthatzca
reziszevidencezbasedzandzthatzsafetyzprogramszarezinzplace.zAdvancedzpracticeznursesz(AP
Ns)zhave
azbroadzdepthzofzknowledgezandzexpertisezinztheirzspecialtyzareazandzmanagezcomplex
zclinicalzandzsystemszissues.zRegisteredznurseszarezgenerallyzdirectzcarezproviders.zNur
sezpractitionersz(NPs)zmanagezdirectzclinicalzcarezofzgroupszofzpatients.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z2zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
4. Whichzprofessionalzorganizationzadministerszcriticalzcarezcertificationzexamszfo
rzregisteredznurses?
a. StatezBoardzofzRegisteredzNurses
b. NationalzAssociationzofzClinicalzNursezSpecialist
c. SocietyzofzCriticalzCarezMedicine
d. AmericanzAssociationzofzCritical-CarezNurses
ANS:zD
AmericanzAssociationzofzCritical-
CarezNursesz(AACN)zadministerszcertificationzexamszforzregisteredznurses.zThezStatez
BoardzofzRegisteredzNursesz(SBON)zdoesznotzadministerzcertificationzexams.zNationalz
AssociationzofzClinicalzNursezSpecialistsz(NACNS)zdoesznotzadministerzcertificationzex
ams.zSocietyzofzCriticalzCarezMedicinez(SCCM)zdoesznotzadministerznursingzcertificati
onzexamszforzregisteredznurses.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z3zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
5. Emphasisziszonzhumanzintegrityzandzstressesztheztheoryzthatzthezbody,zmind,zandzspir
itzarezinterdependentzandzinseparable.zThiszstatementzdescribeszwhichzmethodologyz
ofzcare?
a. Holisticzcare
b. Individualizedzcare
c. Culturalzcare
d. Interdisciplinaryzcare
ANS:zA
Holisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbody,zmind,zandzspiritzarezin
terdependentzandzinseparable.zIndividualizedzcarezrecognizeszthezuniquenesszofzeachzpatie
nt’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzstatus.zCulturalzdiversityzin
healthzcarezisznotzaznewztopic,zbutzitziszgainingzemphasiszandzimportancezaszthezworldzbe
comeszmorezaccessibleztozallzaszthezresultzofzincreasingztechnologieszandzinterfaceszwithz
placeszandzpeoples.zInterdisciplinaryzcareziszcarezamongzazvarietyzofzhealthzcarezprofessi
onalszwithzthezpatient’szhealthzaszthezcommonzgoal.
PTS:zzz 1 DIF: CognitivezLevel:zRemembering
REF:zp.z4zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
, 6. ThezAmericanzAssociationzofzCritical-
CarezNursesz(AACN)zhaszdevelopedzshortzdirectiveszthatzcanzbezusedzaszquickzr
eferenceszforzclinicalzusezthatzarezknownzas
a. CriticalzCarezProtocol.
b. PracticezPolicies.
c. Evidence-BasedzResearch.
d. PracticezAlerts.
ANS:zD
ThezAmericanzAssociationzofzCritical-
CarezNursesz(AACN)zhaszpromulgatedzseveralzevidence-
basedzpracticezsummarieszinzthezformzofz“PracticezAlerts.”zEvidence-
basedznursingzpracticezconsiderszthezbestzresearchzevidencezonzthezcareztopiczalongzwith
zclinicalzexpertisezofztheznursezandzpatientzpreferences.zCriticalzcarezprotocolzandzpractic
ezpolicieszarezestablishedzbyzindividualzinstitutions.
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REF:zp.z3zOBJ:z NursingzProcesszStep:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
7. Whatztypezofztherapyziszanzoptionztozconventionalztreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:zA
Theztermzalternativezdenoteszthatzazspecificztherapyziszanzoptionzorzalternativeztozwhatz
iszconsideredzconventionalztreatmentzofzazconditionzorzstate.zTheztermzcomplementaryz
waszproposedztozdescribeztherapieszthatzcanzbezusedztozcomplementzorzsupportzconventi
onalztreatments.zHolisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbody,zm
ind,zandzspiritzarezinterdependentzandzinseparable.zIndividualizedzcarezrecognizeszthezu
niquenesszofzeachzpatient’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzs
tatus.
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REF:zp.z4zOBJ:z NursingzProcessz Step:zN/A
TOP:zCriticalzCarezNursingzPracticezMSC:zNCLEX:zSafe
zandzEffectivezCarezEnvironment
8. Prayer,zguidedzimagery,zandzmassagezarezallzexampleszofzwhatztypezofztreatment?
a. Alternativeztherapy
b. Holisticzcare
c. Complementaryzcare
d. Individualizedzcare
ANS:zC
Theztermzcomplementaryzwaszproposedztozdescribeztherapieszthatzcanzbezusedztozcomplem
entzorzsupportzconventionalztreatments.zSpirituality,zprayer,zguidedzimagery,zmassage,zandz
animal-
zassistedztherapyzarezallzexampleszofzcomplementaryzcare.zTheztermzalternativezdenoteszth
atzazspecificztherapyziszanzoptionzorzalternativeztozwhatziszconsideredzconventionalztreatme
ntzofzazconditionzorzstate.zHolisticzcarezfocuseszonzhumanzintegrityzandzstresseszthatzthezbo
dy,zmind,zandzspiritzarezinterdependentzandzinseparable.zIndividualizedzcarezrecognizeszthe
zuniquenesszofzeachzpatient’szpreferences,zcondition,zandzphysiologiczandzpsychosocialzstat
